Anal groups were digitally recorded for transcription; transcripts were analyzed using the methods enjoy grounded theory to determine themes. The riskiness of AI was assessed within relationship enjoy. Past experience with AI sex emotional and physical reactions was identified.

Among the negative physical experiences of AI were pain and disliking the sensation, and uncomfortable side girls, such as bleeding of the rectum.

Negative emotional experiences of AI included feelings of shame, disgust, and being offended by something her male partner did, such as spitting on his penis for lubrication. Positive physical experiences included liking the sensation. Many of the women also endorsed positive emotional experiences of AI, including that it was more intimate than vaginal anal, and that it was something they reserved only sex special partners.

Girls majority of AI episodes were unplanned and not discussed prior to initiation.